Suzanne Rogers

Experience

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  The University of Texas Medical Branch

  Jan 1996 - Dec 2001

  Senior Quality Management Coordinator

  Facilitate and support process improvement programs, quality initiatives and medical staff committees, including peer review, in a variety of clinical and hospital departments. Create, execute and report methodologies to monitor process measures and clinical outcomes for both inpatient and outpatient populations. Assist in TJC accreditation preparation, Texas Department of Health compliance, CMS compliance and HEDIS quality monitors.

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  MD Anderson Cancer Center

  Dec 2001 - Apr 2003

  Associate Dircetor/Clincal Data Manger

  Initiated outpatient coding process redesign, including work flow, remote coding, information system analysis and accounts receivable. Develop policy and procedures, productivity and quality audit tools, accurate reporting systems. Oversight of TJC ongoing medical record review, and chapter lead for TJC Information Management Chapter.

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  College of the Mainland

  Aug 2002 - May 2011

  Adjunct Faculty

  developed curricula, instructional tools and conduct class for Health Information Technologies program in accordance with the AHIMA domains for RHIT competencies. Instructor for Basic ICD-9 coding; Basic CT/ HCPCS coding, Health care Reimbursement Methodologies; and Healthcare Organization and Supervision.

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  The University of Texas Medical Branch

  Apr 2003 - Sept 2007

  Medical Management Facilitator

  Facilitate multidisciplinary teams for cost and process improvement. data analysis and clinical decision support. Generate, analyze and present data, conclusions and recommendations. Measure and monitor effectiveness and clinical outcomes for institutional cost, quality, safety and improvement initiatives.

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  The University of Texas Medical Branch

  Apr 2009 - Jan 2012

  Responsible for clinical data reporting and clinical documentation improvement activities for 450+ bed academic medical center. Charged with the ongoing development, implementation and advancement of clinical documentation improvement and clinical data integrity to accurately capture and report severity of illness, risk of mortality and intensity of service for both inpatient and outpatient populations. Administrator of institution wide clinical data reporting (dashboard) from a variety of internal and external data sources to support, research, strategic planning, performance improvement, and regulatory requirements. Active participant: Revenue Cycle Committee, ICD-10 Steering Committee, Regulatory Audit Committee, Hospital Quality and Performance Improvement Committee, various department level quality committees. Show less Supervise and direct all hospital inpatient and outpatient coding activities. Implemented formal coding quality assurance process. Implemented operational process to rectify LCD/NCD and CCI code edits . Instituted a process for post discharge coder query. Improved severity of illness and risk of mortality scores using coder education and collaboration with documentation specialists. Worked with Regulatory Audit Committee and claims denials and appeals process. Actively participated by writing appeals, trending denials, and providing feedback and education to physicians, coders, and documentation specialists. Show less

  • Director, Clinical Data Management

    Sept 2007 - Jan 2012

  • Interim Coding Manager

    Apr 2009 - May 2011
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  Vizient, Inc

  Feb 2012 - now

  Senior HIM specialist

  The Senior Specialist, Health Information Management (SSHIM) is responsible for the developmentand analysis of CDB/RM and related products to assist UHC members in maximizing data usage tomeet organizational requirements for clinical documentation/coding compliance and quality improvement. The SSHIM leads initiatives related to standards, technologies, education, and research which are vital for capture, use, and maintenance of accurate healthcare data.This position supports the specific stated purpose of the CDI program which is a reflection of theoverall business and specific strategic goals of UHC: provide our members with valid and reliabledata for performance improvement; deliver accurate and reliable tools/reports derived from hospitals’ data. Each is an important priority for UHC. In addition to advancing data quality, coding and documentation activities are foundational and support UHC’s databases while also influeincing the majority of the Imperatives for Quality focus areas. Show less